Provider Demographics
NPI:1720272503
Name:METZGAR, MARTHA M (DO)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:M
Last Name:METZGAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARTHA
Other - Middle Name:E
Other - Last Name:MCGAREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2830 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-4204
Mailing Address - Country:US
Mailing Address - Phone:610-954-3555
Mailing Address - Fax:
Practice Address - Street 1:2830 EASTON AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-4204
Practice Address - Country:US
Practice Address - Phone:610-954-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT012208207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine